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Organization

IBJI, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE M GOLDSTEIN MD (PRESIDENT)
(847) 375-3000
Entity
Organization

Contact information

Practice address
9000 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2127
(847) 375-3000
Mailing address
8930 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 60053-2126
(847) 324-3976

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
214249
MEDICARE GROUP
IL
Enumeration date
07/31/2008
Last updated
07/31/2008
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